Coopersburg Center Valley Family Practice

LBN: St. Luke'S Physician Group, Inc.
Coopersburg Center Valley Family Practice is an health care organization with primary practice located at 5848 Old Bethlehem Pike Suite 101, Center Valley PA 18034-9484. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. St. Luke'S Physician Group, Inc. can be contacted via phone (610) 282-2155, or through Evans, Dean W via phone (610) 954-4991.

Contact Information

Primary practice address
5848 Old Bethlehem Pike Suite 101 Center Valley PA 18034-9484
Phone: (610) 282-2155
Fax: (610) 282-2350
Website:
Map and Directions
Authorized official contact:
Name: Evans, Dean W
Phone: (610) 954-4991

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1437101540
LBN Legal business name St. Luke'S Physician Group, Inc.
DBA Doing business as Coopersburg Center Valley Family Practice
Authorized official Evans, Dean W
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Apr 16th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437101540 NPPES
Pennsylvania MEDICAID 100730753

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